It is rare to find a practice without a fundus camera these days. Not only does the retinal image provide essential clinical information, we are now at the point where a practice without a retinal camera might be seen as medico-legally vulnerable. A timed and recorded capture cannot be argued with (more of this later). As always, the familiar becomes commonplace and patients expect an image now as part of any eye check. Delegation is typically the order of the day, usually with a protocol that relies on the eye care professional to request dilation or a more detailed assessment if the initial image from pre-screening is unacceptable.
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